What's This Mean?

[K_Johnson]

Hi to everyone x

I have just received a copy of a letter my surgeon sent to my GP. He thinks my underlying knee problem relates to a degree of trochlear dysplasia. What the heck is that? As always, very grateful for any replies x

Kate

[UK_Girl_!]

Hi Kate - have you tried Google - loads of info there but there are bound to be more people here with experience as well !

[brianne]

Trochlear Dysplysia refers to an abnormally shallow trochlear groove. That is the groove at the end of your femur that the patella rides in. This is fairly common or at least not extremely uncommon.

[sp7]

Hi to everyone x

I have just received a copy of a letter my surgeon sent to my GP. He thinks my underlying knee problem relates to a degree of trochlear dysplasia. What the heck is that? As always, very grateful for any replies x

Kate

Yes, always try out Google. Click on http://tinyurl.com/6rm6fe  which will change into all the Google hits for your "trochlear dysplasia". I hope the info helps you in some way.

[K_Johnson]

Thank you for all your replies.
I'm still a little confused. In the letter the surgeon also referred to a patello-femoral replacement. Now is this the same as a tkr? When I saw the consultant at the hospital he said something about a knee replacement.

[*Tiffany]

Hi Again Kate !!

Wow, that is the surgery I had !! IN my signature you will see,
"bilateral PFJR" That is both knees = bilateral and
"pfjr" patella femoral jointspace replacment.

The doctor is replacing the underside of the patella with metal and a plastic cap. The plastic cap rides on the new surface of the femure. In the middle of the end of the femur there is a groove that the patella rides in, this groove is replaced by a smooth metal surface.

For me... this new and smooth surface made my chronic dislcation worse. I think this surgery is probably a good choice for people with severe and painful arthrits who had NO history of patella dislcation.

Good Luck..

Tiff

[K_Johnson]

Thanks Tiff once again xxx

[kc1124]

Hi Kate,

I am 5 1/2 weeks out from a Fulkerson and Trochleoplasy. My femoral trochlear groove showed "lateral subluxation and hypoplasia at the inlet." Basically, after mapping out my osteotomy and performing an open lateral release, my surgeon basically made a new trochlear groove for me.

To date, I am now pain free after suffering from non-stop pain reaching the number 10 on the famous pain scale. I have just started PT and am doing well with that also. Of course there is some pain, but nothing like what I had thought. I am very pleased so far.

Hope some of this information is helpful to you. Please let me know if you have any questions.

Kat

[K_Johnson]

Hi Kat,

Thanks for your reply I hope you continue to progress so well. Pain free or less pain. What a result! I'm sooo pleased for you x
My surgeon has suggested a patello femoral replacement but has reservations on doing this at my age. Waiting for an MRI appointment then for him to make his decision.

[*Tiffany]

Dear Kate..

Seems your surgeon has ... certain ideas about age?
I was not surprised he was hesitant to do TKR.. that is fairly standard.

But PFJR... I thought this is what it is for... to get things working so you can hold off TILL you are older and can have tkr. Are you sure he isn't a pediatrician?

Whatever happens and whatever the surgeon decides, I hope you get some relief. you ARE to young to be this limited by pain..

TakeCare
T

[K_Johnson]

Yipeeee!! Got my mri appointment through for this Wednesday. Perhaps I can now take a step forward or in my case a hobble

[kc1124]

Hi Kate,

Good luck with your appointment. Hope everything goes well.

Kat

[K_Johnson]

Thank you very much